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Northeast Georgia Procedure Center LLC

Ambulatory Surgical Clinic/Center in Athens, GA · enumerated 2006 · authorized official Dawnetta Holladay, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063507630

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Registry record

Entity type Organization (Type 2)
Legal business name Northeast Georgia Procedure Center LLC
Practice address 1620 Prince Ave, Suite B, Athens, GA, 30606
Phone (706) 549-8114
Fax (706) 549-0151
Enumeration date Oct 3, 2006
Last updated in NPPES Feb 11, 2013

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities · License 029-303 (GA) Primary

Authorized official

Name Dawnetta Holladay
Title Ceo
Phone (706) 549-8114

Other identifiers

Identifier Type State Issuer
938358734A Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Northeast Georgia Procedure Center LLC?
The NPI for Northeast Georgia Procedure Center LLC is 1063507630, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Northeast Georgia Procedure Center LLC?
NPPES lists Dawnetta Holladay (Ceo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-02-11.